Active NPIIndividual provider

Dr. Gregory Suprin, MD

Family Medicine in Jamaica, New York

NPI Number1447207071
Practice location
8810 Parsons Blvd, Jamaica, NY 11432-3842
Fax
718-487-9343
Last updated
June 4, 2014

Gregory Suprin is a Family Medicine based in Jamaica, NY. Gregory Suprin practices in Jamaica, NY and has the professional credentials of MD. The NPI Number for Gregory Suprin is 1447207071 and holds a License No. 230165-1 (NY). The current practice location address for Gregory Suprin is 8810 Parsons Blvd, Jamaica, NY 11432-3842 and can be reached out via phone at 718-291-8111 and via fax at 718-487-9343.

Provider Profile Details

NPI Number
1447207071
Provider Name
Gregory Suprin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
8810 Parsons Blvd, Jamaica, NY 11432-3842
Phone Number
718-291-8111
Fax Number
718-487-9343
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
May 28, 2006
Last Update Date
June 4, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
8810 Parsons Blvd
Jamaica, NY 11432-3842
Zip
11432-3842
Phone Number
718-291-8111
Fax Number
718-487-9343
Jamaica, NY 11432Get directions →

Provider Business Mailing Address Details

Address
111 Broadway
#1005
New York, NY 10006-1951
City
New York
State
NY
Zip
10006-1951
Phone Number
646-217-4610
Fax Number
917-591-8596

License Information

License Number (1)
230165-1
License State (1)
NY
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
230165
License State (2)
NY
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gregory Suprin, MD?

The NPI number of Dr. Gregory Suprin, MD is 1447207071. It was assigned on May 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Gregory Suprin, MD?

Dr. Gregory Suprin, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 230165-1.

Where does Dr. Gregory Suprin, MD practice?

The practice location is 8810 Parsons Blvd, Jamaica, NY 11432-3842. The office can be reached at 718-291-8111 (phone) or 718-487-9343 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447207071 directly on the NPPES registry website.

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